Individual
PAUL E SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12710 TOTEM LAKE BLVD NE, KIRKLAND, WA 98034-2907
(425) 821-4040
Mailing address
16649 CANTLAY ST, LAKE BALBOA, CA 91406-2806
(206) 794-5767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00012019
WA
Other
Enumeration date
05/25/2006
Last updated
05/07/2012
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